Bridgetown Health Care LLC
Organization
Active NPI
Skilled Nursing Facility · Cincinnati, OH
NPI 1336701242 · NPPES record last updated Jul 1, 2019
Key facts
- NPI
- 1336701242
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- BRIDGETOWN HEALTH CARE LLC
- Practice address
- 4307 Bridgetown Rd
Cincinnati, OH 45211-4427
- Phone
- (513) 598-8000
- Fax
- (513) 574-7424
- NPI assigned
- Jul 1, 2019
- Organization subpart
- No
Authorized official
- Name
- Mr. Geoffrey Everett Webster, ESQ.
- Title
- Counsel
- Phone
- (614) 461-1156
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
Emmanuel V Rivera, MD
Geriatric Medicine (Family Medicine) Physician · Cincinnati, OH · NPI 1912946146
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
Emmanuel V Rivera, MD
Geriatric Medicine (Family Medicine) Physician · Cincinnati, OH · NPI 1912946146
Medicare Care Compare: Nursing home
- Listed as
- Bridgetown Nursing and Rehabilitation Centre CCN 365462
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 14, 1980
- Medicare certification status
- Active (Provider of Services file)
- Certified beds
- 55 · 43.5 residents per day on average
Source: Medicare Care Compare, processed Aug 1, 2026.
Laboratory certificates & supplier records
Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|
| 36D2021248 | Bridgetown Health Care LLC
4307 Bridgetown Road, Cincinnati, OH 45211 | Certificate of waiver | Mar 8, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Skilled nursing facility certification: CCN 365462
- Legal name
- BRIDGETOWN HEALTH CARE LLC
- Doing business as
- BRIDGETOWN NURSING & REHABILITATION CENTRE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 14, 1980
- Last certification
- May 19, 2022
- Beds
- 55
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC · Proprietary
- Incorporated
- Jun 11, 2019 in OH
- Enrollment address
- 4307 Bridgetown Rd
Cincinnati, OH 45211-4427 - Nursing home name
- BRIDGETOWN NURSING AND REHABILITATION CENTRE
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|
Emmanuel V Rivera
Individual
|
Adp of the SNF |
Oct 1, 2023 |
|
Deborah Labazzo
Individual
|
Operational/Managerial Control |
Jul 1, 2019 |
|
| Adp of the SNF |
Jul 1, 2019 |
|
Individual
|
Direct Ownership Interest |
Jul 1, 2019 |
2% |
Ronald Bommer
Individual
|
5% Or Greater Direct Ownership Interest |
Jun 11, 2019 |
49% |
| Adp of the SNF |
Jul 1, 2019 |
|
Cameron Bommer
Individual
|
5% Or Greater Direct Ownership Interest
Managing Member |
Jul 1, 2019 |
49% |
Corporate Director
Managing Director |
Jul 1, 2019 |
49% |
| Operational/Managerial Control |
Jul 1, 2019 |
|
| Adp of the SNF |
Jul 1, 2019 |
|
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| O20190913001013 |
OH |
Part a Provider - Skilled Nursing Facility |
1951630151 |
Practice locations: Cincinnati, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Skilled Nursing Facility |
314000000X |
|
|
Yes |
Addresses
Primary practice location
4307 Bridgetown Rd
Cincinnati, OH 45211-4427
Mailing address
17 S High St Ste 770
Columbus, OH 43215-3450
Phone (614) 461-1156
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 2842N | Other | OH | LICENSE |
Other names
- Bridgetown Nursing & Rehabilitation Centre Doing business as
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|
| Other URL |
513-574-7424 |
Direct |
|
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.
Verify at the official NPI Registry.